Cornelius, Lisa

Cornelius, Lisa is an individual health care provider with primary practice located at 1100 W 49Th St , Austin TX 78756-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Cornelius, Lisa can be contacted via phone (512) 776-6309.

Contact Information

Primary practice address
1100 W 49Th St Austin TX 78756-3101
Phone: (512) 776-6309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X L6844 Texas

Profile Details

NPI number 1538129481
LBN Legal business name Cornelius, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538129481 NPPES
Texas Other 8J0636 BLUE SHIELD
Texas MEDICAID 159620703 BLUE SHIELD
Texas MEDICAID 1596207-01 BLUE SHIELD
Texas Other 1596207-02 BLUE SHIELD
Texas Other P00047686 BLUE SHIELD

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